8 results
C. Difficile Infection in IBD - IBD Algorithm

Background
Complications
CDI Testing Algorithm
CDI Recurrence

Dr. Wade Billings @wabillin

#Clostridioides #difficile #CDiff
Complications CDI ... CDI Recurrence ... Clostridioides #difficile ... #CDiff #CDifficile ... #Management #Treatment
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Difficile Infection ... ABx) → Acute Diarrhea ... Pseudomembranous colitis ... → Fulminant Colitis ... #Cdiff #Clostridioides
Acute Diarrhea - Differential Diagnostic Algorithm
Watery/Large Volume (Small Bowel)
 • Viral
 • Bacterial (e.g. C peffrjngens,
Acute Diarrhea - ... Differential Diagnostic ... Algorithm Watery ... E. coli, C difficile ... #Differential #
Persistent UC Symptoms Despite 5-ASA Therapies
 • Assess for Drug Adherence
 • Disease Activity Assessment (bloody
Assessment (bloody diarrhea ... UC > non-bloody diarrhea ... Rule-Out Infection, Cdiff ... Refractory #Treatment #Management ... #Algorithm
Acute Diarrhea - Differential Diagnosis Framework
1)  Diagnostic studies only for dysentery, severe disease, >7 days
2)
Acute Diarrhea - ... Differential Diagnosis ... Tropheryma whipplei • Protozoal ... Invasive: Clostridium difficile ... NonInfectious #Algorithm
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm
Loss of Response:
 • (Re)consult Colorectal Surgery
 • Assess
Severe Ulcerative Colitis ... - Management Algorithm ... Diff. & CMV COVID ... Optimize Nutrition • CNI ... #UC #Management
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... C. difficile PCR ... #Workup #Management ... #Algorithm #Transplant ... #diagnosis #differential
Causes of Chronic Diarrhea
Osmotic Diarrhea
 1. Medications: antacids, lactulose, sorbitol
 2. Disaccharidase deficiency: lactose intolerance
 3.
Ulcerative colitis ... Microscopic colitis ... Bacterial: Clostridium difficile ... avium complex Protozoal ... #Causes #Differential